Burnet I Enterprises, LLC

Organization Active NPI Skilled Nursing Facility · Burnet, TX

NPI 1003198383 · NPPES record last updated Apr 10, 2012

Key facts

NPI
1003198383
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
BURNET I ENTERPRISES, LLC
Practice address
507 W Jackson St
Burnet, TX 78611-3012
Phone
(512) 756-6044
Fax
(512) 756-2646
NPI assigned
Sep 13, 2011
Organization subpart
No

Authorized official

Name
Mr. Gary Blake
Title
Managing Member
Phone
(817) 348-8841

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

507 W Jackson St
Burnet, TX 78611-3012

Mailing address

507 W Jackson St
Burnet, TX 78611-3012
Phone (512) 756-6044

Other identifiers

IdentifierTypeStateIssuer
001019949MedicaidTX
004538OtherTXFACILITY ID

Other names

  • Oaks Nursing Center Doing business as

Other providers in Burnet, TX

All providers in Burnet, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.